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San Mateo County

San Mateo Medical Center D/P SNF Complaints, Violations and Inspection Records

Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.

What the public record shows

If you are looking into San Mateo Medical Center D/P SNF in San Mateo, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 4 citations in the state's two most serious classes, class A and class AA.

CMS overall rating 1 of 5 Health inspections 1 of 5
Nursing hours per resident per day 3.94 Compared with the California average below
California state citations 15 $177,700 in penalties
Federal fines $104,000 2 federal fines
CMS overall rating
CMS overall rating: 1 out of 5 star.
Nursing hours per resident per day, against the California average
This facility reports 3.94 nursing hours per resident per day, below the California average of 4.52.
California state citations by year
California state citations by year, between 2000 and 2022: 15 citations on record, including 1 class AA and 3 class A and 11 class B.

Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:

  • CMS overall rating: 1 of 5 stars. The health inspection rating, the most independent of the three categories, is 1 of 5.
  • California state citations: 15 on record, including 1 class AA, 3 class A, and 11 class B, with $177,700 in assessed penalties.
  • Staffing: 3.94 nursing hours per resident per day. Registered nurse turnover not reported.
  • Most recent standard and complaint inspections: 14 deficiencies cited on July 3, 2025. The most recent inspection since then was on June 15, 2026: 1 deficiency cited in the complaint inspection.
  • Federal enforcement: 2 federal fines totaling $104,000 in the reported period.
  • Ownership: County of San Mateo, government.
Entrance of a California skilled nursing facility on a clear morning. Illustration on the page for San Mateo Medical Center D/P SNF in San Mateo, California.
Illustration. Not a photograph of San Mateo Medical Center D/P SNF.

San Mateo Medical Center D/P SNF ratings and staffing

San Mateo Medical Center D/P SNF is located at 222 West 39Th Avenue in San Mateo, San Mateo County. It is a government facility operated by County of San Mateo, with 345 certified beds and an average of 303.3 residents a day. It accepts Medicare and Medicaid.

CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:

  • Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
  • Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
  • Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.

For San Mateo Medical Center D/P SNF, those scores are: health inspections 1 of 5, staffing 4 of 5, quality measures 3 of 5.

Staffing. San Mateo Medical Center D/P SNF reports 3.94 total nursing hours per resident per day, of which 0.62 are registered nurse hours. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.

How this home compares in the public record

CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.

CMS overall rating 1 of 5 San Mateo County average 3.86 of 5 across 14 rated homes. California average 3.16 of 5 across 1,154 rated homes
Nursing hours per resident per day 3.94 San Mateo County average 4.38. California average 4.52
Federal fines $104,000 San Mateo County average $14,728 per home. California average $24,666 per home

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Homes in San Mateo County with a higher CMS overall rating

CMS rates each of these homes above San Mateo Medical Center D/P SNF on the overall star rating it publishes. The rating is one measure of a facility's record, and each page below carries that home's own inspection findings, staffing hours and citation history.

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Federal inspection findings and penalties

Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.

June 15, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)

May 28, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)

May 27, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

February 19, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities and respond appropriately to all alleged violations.

  • F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
  • F0610Respond appropriately to all alleged violations. (scope and severity D)

July 3, 2025, standard and complaint inspections

14 deficiencies cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, hire a qualified full-time social worker in a facility with more than 120 beds, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity K)
  • F0850Hire a qualified full-time social worker in a facility with more than 120 beds. (scope and severity F)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
  • F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (scope and severity E)
  • F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
  • F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (scope and severity D)
  • F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity D)
  • F0637Assess the resident when there is a significant change in condition (scope and severity D)
  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
  • F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
  • F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (scope and severity D)
  • F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity D)
  • F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (scope and severity D)
  • F0610Respond appropriately to all alleged violations. (scope and severity D)

March 21, 2024, standard and complaint inspections

19 deficiencies cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing, ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options, and ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  • F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity G)
  • F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity F)
  • F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. (scope and severity F)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
  • F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)
  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)
  • F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (scope and severity E)
  • F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity E)
  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
  • F0732Post nurse staffing information every day. (scope and severity D)
  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
  • F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (scope and severity D)
  • F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
  • F0814Dispose of garbage and refuse properly. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)
  • F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. (scope and severity D)
  • F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity G)
  • F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

February 15, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity G)

January 30, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

October 20, 2023, complaint inspection

10 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, develop and implement policies and procedures to prevent abuse, neglect, and theft, and respond appropriately to all alleged violations.

  • F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity J)
  • F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity J)
  • F0610Respond appropriately to all alleged violations. (scope and severity H)
  • F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity G)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)
  • F0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. (scope and severity G)
  • F0602Protect each resident from the wrongful use of the resident's belongings or money. (scope and severity D)
  • F0641Ensure each resident receives an accurate assessment. (scope and severity D)
  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)

May 10, 2021, standard inspection

7 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs, and provide and implement an infection prevention and control program.

  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
  • F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity E)
  • F0880Provide and implement an infection prevention and control program. (scope and severity E)
  • F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity D)
  • F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (scope and severity D)
  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

Penalties. Over the reported period, San Mateo Medical Center D/P SNF received 2 federal fines totaling $104,000 and 1 payment denial. Fines are imposed when a facility is cited for a serious violation or fails to correct a prior deficiency in time.

California state citations

California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.

State records show 15 citations against San Mateo Medical Center D/P SNF between June 1, 2000 and August 25, 2022: 1 class AA, 3 class A, and 11 class B, with $177,700 in assessed penalties. 1 of these actions were connected to a resident's death.

  • August 25, 2022, class B, Patient Record. $2,000 penalty.
  • August 25, 2022, class B, Patient Record. $2,000 penalty.
  • January 7, 2022, class B, Problem Transfer. $2,000 penalty.
  • September 27, 2019, class AA, Patient Care. $100,000 penalty. Appealed. Death-related.
  • September 26, 2018, class B, Patient Care. $2,000 penalty.
  • November 1, 2011, class A, Patient Care. $20,000 penalty. Appealed.
  • February 10, 2009, class A, Patient Care. $20,000 penalty.
  • April 2, 2008, class A, Patient Care. $20,900 penalty. Appealed.
  • February 21, 2007, class B, Patient Rights. $3,000 penalty. Appealed.
  • October 20, 2006, class B, Patient Care. $1,000 penalty.
  • October 11, 2006, class B, Patient Rights. $1,000 penalty.
  • February 2, 2001, class B, Problem Transfer. $1,000 penalty.

and 3 earlier citations, in the CDPH record linked under Sources.

Across San Mateo County's 14 certified facilities, the average is about 6.9 state citations per facility. San Mateo Medical Center D/P SNF's 15 is above that average.

A citation marked "Appealed." is under appeal, so it is not a final determination. A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.

Other nursing homes in San Mateo

Families comparing options in San Mateo often look at these facilities as well. Each link opens that facility's full public record:

See every facility in the San Mateo County nursing home directory.

Other nursing homes in San Mateo County

These are other nursing homes in San Mateo County, listed by how close each home's ZIP code is to the ZIP code for San Mateo Medical Center D/P SNF. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.

This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Couple reading a nursing home inspection report together at home. Illustration on the page for San Mateo Medical Center D/P SNF in San Mateo, California.
Couple reading a nursing home inspection report together at home

What to do if you are worried about care at this facility

You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at San Mateo Medical Center D/P SNF, you can take these steps:

Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.

File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the San Mateo County licensing district office.

Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. San Mateo County's ombudsman program can be reached at (650) 780-5709. This is often the fastest first step when the issue is care quality rather than an emergency.

For the full walkthrough, see How to report nursing home abuse in California.

Injuries that most often signal neglect

The injuries below are the ones most often at issue in California nursing home cases. Any one of them at San Mateo Medical Center D/P SNF is a reason to ask what the facility's own records show:

Nursing home abuse claims in San Mateo County

If a loved one was harmed at San Mateo Medical Center D/P SNF, these pages explain how San Mateo County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:

You can also compare every home in the San Mateo County nursing home directory.

Are There Lawsuits Against San Mateo Medical Center D/P SNF?

This page reports federal and state inspection, complaint and enforcement records for San Mateo Medical Center D/P SNF. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for San Mateo County are searchable through the San Mateo County Superior Court's online case records. If your family member was injured at San Mateo Medical Center D/P SNF, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.

Family touring a California nursing home and asking staff questions. Illustration on the page for San Mateo Medical Center D/P SNF in San Mateo, California.
Family touring a California nursing home and asking staff questions

Frequently asked questions

Is San Mateo Medical Center D/P SNF a good nursing home?
CMS gives San Mateo Medical Center D/P SNF an overall rating of 1 of 5 stars, with a health inspection rating of 1 of 5 based on in-person state surveys. California has issued 15 state citations against the facility, including 4 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
What should I do if my loved one was injured at San Mateo Medical Center D/P SNF?
Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the San Mateo County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
Has San Mateo Medical Center D/P SNF been fined or cited for serious violations?
Public records show 2 federal fines totaling $104,000 and 15 California state citations with $177,700 in state penalties, including 1 class AA citation.
How many state citations does San Mateo Medical Center D/P SNF have?
The California Department of Public Health has issued 15 citations against San Mateo Medical Center D/P SNF in San Mateo between June 1, 2000 and August 25, 2022: 1 class AA, 3 class A, and 11 class B, with $177,700 in assessed penalties.
How do I report a problem at San Mateo Medical Center D/P SNF?
File a complaint with CDPH through its Cal Health Find system, or contact the San Mateo County Long-Term Care Ombudsman at (650) 780-5709. In an emergency, call Adult Protective Services or 911.

If your loved one was harmed

We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).

If your loved one was harmed at San Mateo Medical Center D/P SNF, talk to our San Mateo County nursing home abuse lawyers. We handle cases in San Mateo and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.

Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.

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Sources

  • Centers for Medicare & Medicaid Services, Care Compare: San Mateo Medical Center D/P SNF provider record, CCN 555034. Ratings, staffing, and federal deficiency data processed August 1, 2026.
  • CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
  • California Department of Public Health, Cal Health Find: San Mateo Medical Center D/P SNF state license record, FACID 220000218, license 220000015.
  • California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.

Disclaimer

The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of San Mateo Medical Center D/P SNF in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with San Mateo Medical Center D/P SNF, and neither the facility nor any government agency endorses this page.

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